A 60-year-old man presents with haematemesis and melena. He is pale and sweaty. Blood pressure is 88/55 mmHg, heart rate 120 beats/min. He takes regul...

Question

A 60-year-old man presents with haematemesis and melena. He is pale and sweaty. Blood pressure is 88/55 mmHg, heart rate 120 beats/min. He takes regular ibuprofen for osteoarthritis. What is the most appropriate immediate management priority?

Accepted Answer

Resuscitate with intravenous crystalloid and blood products while arranging urgent endoscopy

Answer

Arrange urgent oesophagogastroduodenoscopy without resuscitation

Answer

Commence high-dose proton pump inhibitor infusion only

Answer

Give oral omeprazole 20 mg and discharge if symptoms settle

Answer

Insert a nasogastric tube for diagnostic lavage only

au-amc MCQ (SBA): Upper gastrointestinal bleeding

A 60-year-old man presents with haematemesis and melena. He is pale and sweaty. Blood pressure is 88/55 mmHg, heart rate 120 beats/min. He takes regular ibuprofen for osteoarthritis. What is the most appropriate immediate management priority?